ATI RN
ATI Pediatric Proctored Exam 2023
1. The nurse plans to closely monitor for which clinical manifestation after administering furosemide (Lasix)?
- A. Decrease pulse
- B. Decrease temperature
- C. Decrease BP
- D. Decrease respiratory rate.
Correct answer: C
Rationale: High-ceiling diuretics, such as furosemide, are the most effective diuretic agents. They produce more loss of fluid and electrolytes than any others. A sudden loss of fluid can result in decreased BP. When BP drops, the pulse will probably increase rather than decrease.
2. Which strategy is most effective in preventing existing challenging behaviors?
- A. Ignoring the behaviors
- B. Individualized interventions
- C. Providing flexible rules
- D. Punishment
Correct answer: B
Rationale: Individualized interventions are tailored to address the specific needs and triggers of the individual's challenging behaviors. By customizing the approach to each person, it increases the likelihood of effectively preventing and managing the existing challenging behaviors.
3. A post-op patient has an epidural infusion of morphine sulfate. The patient’s respiratory rate declines to 8 breaths/minute. Which medication would the nurse anticipate administering?
- A. Naloxone (Narcan)
- B. Acetylcysteine (Mucomyst)
- C. Methyprednisolone (Solu-Medrol)
- D. Protamine Sulfate
Correct answer: A
Rationale: Naloxone is a narcotic antagonist that can reverse the effects, both adverse and therapeutic, of opioid narcotic analgesics.
4. For a 6-year-old child with hypokalemia, which menu choice should the nurse encourage?
- A. Pizza with a fruit plate
- B. Chicken strips with chips
- C. Fajita with rice
- D. Hamburger with French fries
Correct answer: A
Rationale: Pizza with a fruit plate is the most suitable choice for a 6-year-old child with hypokalemia due to its potassium content. Potassium-rich foods like fruits can help replenish potassium levels in the body, aiding in the treatment of hypokalemia.
5. When discussing the correction of hypospadias in a newborn, what does the nurse explain about this condition?
- A. No intervention is required as the defect will correct itself over time.
- B. Surgical repair of hypospadias is typically performed before 18 months of age.
- C. Corrective surgery is commonly postponed until preschool age.
- D. Repairing the defect does not increase the risk of testicular cancer.
Correct answer: B
Rationale: Hypospadias is a congenital condition where the opening of the urethra is on the underside of the penis. Surgical repair is the primary treatment for hypospadias and is usually recommended to be done before 18 months of age. This timing is preferred for optimal cosmetic and functional outcomes. Waiting until preschool age for corrective surgery may increase the complexity of the procedure and potential complications. Correcting hypospadias does not impact the risk of testicular cancer.
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